Get the free sample care contract form

Please note : Each client who registers with MDC receives access to an online registration form where they can complete an online application. If you are unable to complete the online application using the online forms available via online services... please complete the MDC Online Application Form for a limited fee. This is a secure application provided by MDC to prevent unauthorized use. Please review the rules before clicking the submit button. The online application form cannot be processed or confirmed until the form is submitted. The online application form contains all the information required in the application. MDC does not provide direct deposits. There are several banking companies that may provide direct deposit services for the client. If the client cannot locate the appropriate banking option they can refer to the MDC's direct deposit options below and contact any bank(IES) as appropriate to arrange for service and the correct amount of funds being applied to the client account. Individuals with disabilities will be provided a form where they will be able to designate a person (usually a caregiver/home care aide) to handle their direct deposit requirements. It must be noted that individuals with disabilities cannot be required to pay direct deposit fees. A copy of the person's DMV certificate of certification will be required. For additional information on MDC's Direct Deposit program please visit the MDC Direct Deposits Page. Please be advised that all payments for care shall be calculated at the rate set forth in the application form. Payment shall be made directly to the care provider of record. Please note: • MDC only provides care to eligible clients • Care needs to be provided by the client • All care shall be covered, to the extent that it is appropriate for the client's illness or type of care as determined by the provider • Care providers are responsible for payment of all medical fees and other charges • A deposit may be paid to the care provider for care for up to 24 hours at a time • For extended care, payment is due in full prior to the end of the program time frame of care.

Who needs the Sample Family Child Care Contract?

The parents of a child and a daycare provider can to use this sample contract.

What is the purpose of the Sample Family Child Care Contract?

The parents of a child and a daycare provider use this sample contract to create a legally binding contract that states terms and conditions of the daycare.

What information should be provided?

The parties to the contract fill in their names, names and dates of birth of the children, amount to be paid for the services, daycare schedule including the arrival time and pick up time, late pick up fee, late payment fee, overtime rates, payments during holidays or vacations, additional charges for certain supplies, special trips, damaged property, etc.

If the family uses the state subsidy program (Care 4 Kids), the payment terms should be set out in section Care 4 Kids Payments.

The parties sign and date the contract. If the parent or legal guardian is under 18, the contract must be signed by a co-signer who will act as guarantor and will be bound by financial terms of the contract.